作业治疗课件

OccupationalTherapyMiriamConley作业治疗OccupationalTherapyDefinitionofoccupation:Ajob,profession,employment,WORKOccupationalTherapypromoteshealthbyenablingpeopletoperformmeaningfulandpurposefulactivities.(Wikipedia)作业治疗OccupationalTherapyisaprofessionconcernedwithpromotinghealthandwellbeingthroughengagementirefulanalysisofphysical,environmental,psychological,mental,spiritualpoliticalandcuturalfactoraidentificationofbarrierstooccupation.OTdrawsfrom（从…中提取）thefieldofmedicine,psychology,sociology,anthropology(人类学)andotherdispline.(WorldFederationofOccupationalTherapy)作业治疗HistoryofOccuptationalTherapy100BC,GreekphysicianAsclepiadesrecommendedhumantreatment(人道待遇)ofpatientsbygivingthempurposefulactivities…work1700inEuropeDrs.PhillipPinelandJohanChristianRailoverhauled（彻底大整修）thementalhospitals（精神病院）byunchaining（释放）patientsandgivingthempurposefulactivities…artsandcrafts…probablybasketweaving（编织）…work1910UnitedStateshospitalsgavewoodworkingcraftstotheirpatients…work1917-1920148,000warwoundedfilledAmericanhospitals.作业治疗1920AOTA(AmericanOccupationalTherapyAssociation)wasformedandadvocatedforthesewarveterans（老兵）steadyemployment(work),decentwages（满意的薪酬）andfairwokingconditions.1922PsychiatristsMeyerPhillips,WilliamRushDentonformalizedAOTA’sdefinition:Occupationeffectsone’shealthandwellbeing.Occupationcreatsstructureandorganizstime.Occupationgivesmeaningtolife,culturallyandpersonally.Occupationareindividual,peoplevaluedifferentoccupations(work).ThephilosophyofoccupationaltherapyhasbeenbasedonRomanticism,pragmatism（实用主义）andhumanism.作业治疗Age&Occupation,Job,WORK

AgeOccupation,Job,WORKBirthsuck,swallowbreath4monthheadcontrol6monthstandup8monthcreep,crawl1-11/2yearwalk2yearrun,play3yearusetoiletalone4yeardress/undress5yearusechopticks6yearread,write7yearcount,usemoney8yearusephone,computer,digitalgames9yearridebike,startscooter15yeardrivecar18yearfinishschool/getjob19yeargotocollegeorgetbetterjob20yeargetmarried/havechildren60yearRETIRE!作业治疗CLASSIFICATIONOFOCCUPATIONALTHERAPY

PEDIATRICSNICUTODDLERSSCHOOLAGENDT（神经发育疗法）/BOBATHSI/AYERSAQUATHERAPY（水疗）

PRIVATETHERAPYREHABILITATIONHANDTHERAPYBURNTHERAPYGENERALDISABLITIESHOMEHEALTHSERVICESAQUATHERAPYPRIVATETHERAPYMENTALHEALTHINPATIENT/HOSPITALSOUTPATIENT/COMMUNITYBASESCHOOLSEVICESPRIVATETHERAPY作业治疗作业治疗作业治疗作业治疗作业治疗作业治疗Handrehabilitation作业治疗作业治疗作业治疗TREATMENTANDSURGICALPURPOSE

Toprotectagainstdamageanddeformitywithinthedefinedterritoryoftheiniurednervepriortoitsmaximumrecovery.Thegoalofsurgeryistorestorenervecontinuitybydirectrepairornervegraftinginorderthatanoptimumnumberofnervefiberswillreachtheirappropriatesensoryand/ormotorendorgans.Duringthepreoperativeandpostoperativeperiods,appropriatemonitoringandtherapyisrequiredtooptimizethefinalresult.Patienceonthepartofthosetreatingorbeingtreatedisnecessarybecauseoftheslowrateofnervehealing.Therapybeginswithin1-3weeks,for12weeksOT:6daysrest7dayssplint14daysremovestructures.作业治疗作业治疗

BloodVesselRepairTREATMENTGOALS(Therapystartsafter2-4weeks)Maintainintegrityofvesselrepairwhileaddressingotherspecificprob-lemsoftheinjuredhand,suchasjointstiffnessortendon/softtissuetightness.POSTOPERATIVEINDICATIONS/PRECAUTIONSFORTHERAPYI.IndicationsRehabilitationmaybeindicatedfollowingthesurgicalrepairofthevesselforprotectivesplinting,remobilization,andeducation.